A seven-week-old infant was born with a biliary atresia. The…
A seven-week-old infant was born with a biliary atresia. The patient has severe obstructive jaundice due to the congenital condition. The patient was admitted and the diagnosis is confirmed by surgical exploration with an operative cholangiography done under fluoroscopic guidance with low osmolar contrast (this included views of the gallbladder and bile ducts). The biliary atresia is treated with a Roux-en-Y operation in the hepatobiliary system, also known as the Kasai procedure, where the pediatric surgeon removes blockage in the gallbladder and bile ducts outside the liver and uses part of the small intestine to replace it. As a result, the bile will flow directly from the liver into the small intestine. The surgeon explained to the parents the operation does not cure biliary atresia but it does produce near normal bile flow and corrects problems that result from the bile obstruction. Otherwise, a liver transplant is the only cure for biliary atresia. For this patient, the Roux-en-Y bypass was created from the gallbladder to the small intestine. Principal Diagnosis: Secondary Diagnosis: Principal Procedure: Secondary Procedure:
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